常温与加温生理盐水洗胃对羊水胎粪污染新生儿喂养耐受性的影响观察

Effect of normal temperature and heated normal saline gastric lavage on feeding tolerance of neonates with amniotic fluid meconium contamination

目的探究常温与加温生理盐水洗胃对羊水胎粪污染新生儿喂养耐受性的影响。方法选取2021年7月-2022年8月于都县人民医院收治的100例羊水胎粪污染新生儿作为研究对象,按随机数字表法分为A组、B组,每组各50例。A组采用常温生理盐水洗胃,B组采用加温生理盐水洗胃,比较两组患儿出生5d内的喂养耐受性;比较两组患儿住院时间、住院费用。结果B组的喂养耐受性98.00%(49/50)略高于A组的86.00%(43/50),但差异无统计学意义(P>0.05)。B组住院时间短于A组,住院费用低于A组,差异有统计学意义(P<0.05)。结论与常温生理盐水洗胃相比,加温生理盐水洗胃可以提高羊水胎粪污染新生儿喂养耐受性,缩短患儿住院时间,减少住院费用。

Objective To investigate the effect of gastric lavage with normal temperature and heated normal saline on the feeding tolerance of newborns with amniotic fluid meconium contamination.Methods 100 neonates with meconium contamination of amniotic fluid admitted to Duxian People's Hospital from July 2021 to August 2022 were randomly divided into group A and group B with 50 cases each.Group A used normal temperature saline for gastric lavage,and group B used warm saline for gastric lavage.The feeding tolerance within 5 days of birth was compared between the two groups;the hospitalization time and expense of the two groups were compared.Results The feeding tolerance of group B was 98.00%(49/50),which was slightly higher than 86.00%(43/50)of the group A,but the difference was not statistically significant(P>0.05).The hospitalization time of group B was shorter than that of group A,and the hospitalization cost was lower than that of group A(P<0.05).Conclusion Compared with normal saline gastric lavage,warm saline gastric lavage can improve the feeding tolerance of neonates with amniotic fluid meconium contamination,shorten the hospital stay and reduce the hospital costs.